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o 0 <br /> SAN JOAQUIN COUNTY <br /> NOTIFICATION OF HAZARDOUS WASTE DISCHARGE <br /> HEALTH. & SAFETY CODE 25180.7 <br /> A. EMERGENCY LEVEL: C) II III HEALTH DISTRICT LOG Ohm <br /> (Circle One) <br /> B. SOURCE OF INFORMATION <br /> Original Source: Jap/fS /SDS Telephone: 0 -7Z,0C>C) <br /> Reporting Agency Name:S7%V-SA6tvf/n( LUX� <br /> Agency Contact: G,////'��,, S,�//J elephone: <br /> Address: <br /> C. LOCATION AND DATE OFF DISCHARGE,, <br /> Location: /�p0 �' • �- /tel :22e <br /> (Best <br /> 7- <br /> (Best Phypsical escription) (Cit or County) <br /> Date of Discharge: O—zz:: p <br /> -p/4C*" <br /> Date Notified: Time: <br /> D. RESPONSIBLE PERSON/BUSINES"-SS7 . <br /> Name of Business <br /> �iLC. ZJo� <br /> Contact Person: p rr�}.Pi�/S(�/1� Telephone: <br /> Physical Address: �pOO /(/, 6. S>ll.� C�f-� %S 20 31 <br /> E. DESCRIPTION /' <br /> Type Release: �f-*7 <br /> Volume: ^/S /yL, <br /> Chemicals: 1�iCse / e� <br /> F. ACTION TAKEN <br /> ! A <br /> 41-� —��K- <br /> c�res�r,S /c4 6�� i2 Liu ��-dcus <ures/� <br /> LeuK� occ- u cX - rorn Iyv- <br /> (.>1 u..n c( is eo rille c -1tA i i,7 5-fa 1I ✓ln w lhr 4t-r-- <br /> T- L . N.cg, •-� -� I 1 o - (,,p, -1--6, s.c� <br /> Cc,l"1-�� �1� i✓l0. c;� .so , 1 C (1 ave d <br />